
Tajuan S
Registered Nurse

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About me
Manager at Blue Cross Blue Shield of Arizona
Education

Lewis University
2008 - 2010MSN/MBA Nursing Administration
Bradley University
1999 - 2004Bachelor Of Science in Nursing Nursing
Experience

University of Chicago Medical Center
Jul 2005 - Jan 2012Registered NurseResponsible for providing direct patient care to complex patients, maintain equipment and monitor the overall clinical status of critically ill neonates in the NICU. Provide a caring, safe and supportive environment to parents and family members. Lastly, Educate parents and families on how to care for their baby to ensure a safe transtion home from the NICU.

JSUMC
Feb 2012 - Feb 2014Nurse Manager AssistantManaged day to day operations of the NICU, including delivery of patient care, supervising shift activities, and monitoring quality of service. Also Responsible for managing payroll, dveloping staffing plans and assignments in accordance with budgetary guidelines, interviewing applicants and evaluating staff members and disciplining team members when necessary.

Nursefinders
Mar 2014 - Sept 2014Travel NICU NurseProvide direct and individualized nursing care to premature and critically ill neonates in the NICU.

AMITA Health
Jun 2014 - Nov 2021Registered NurseNICU Nurse who provides direct and individualized nursing care to premature and critically ill neonates in the NICU. Collaborate with multidisciplinary teams within the NICU to ensure babies have a safe discharge home with their families.

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Oct 2014 - Mar 2022Telephonically manage members health care needs by making outbound calls to assess and identify gaps in care and barriers in treatment plans. Educate members on their disease processes by encouraging healthy lifestyle changes. Provide members with referrals to outside vendors to help them coordinate and manage their disease process better. Complete pre-admission and post discharge counseling for members with acute and chronic conditions. Perform initial, concurrent, and retroreviews based on medical necessity utilizing mcg criteria. Collaborate with hospital case managers, social workers, and utilization coordinators in care coordination and discharge planning. Show less
Unit Manager
Apr 2018 - Mar 2022Primary Nurse Case Administrator
Oct 2014 - Apr 2018

Blue Cross Blue Shield of Arizona
Apr 2022 - nowManager of Integrated CareManage a diverse clinical team who performs prior authorization and concurrent reviews to determine medical necessity in the inpatient and outpatient settings.
Licenses & Certifications

MCG
MCG Care GuidelinesSept 2015
Texas Nursing License
Texas Board of NursingOct 2021
Arizona
ARIZONA ASSOCIATION FOR NURSING PROFESSIONAL DEVELOPMENTNov 2020.webp)
Nursing Case Management (RN-BC)
Commission for Case Manager Certification (CCMC)Aug 2016.webp)
Illinois Nursing License
National Council of State Boards of Nursing (NCSBN)Jul 2005
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